| NPI | 1487640520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH W BOWDEN CEO 207-874-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: ME 36625) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist (Licence: ME 36344) |
| 261QP2000X Clinic/Center Physical Therapy (Licence: ME 36344) | |
| 261QX0100X Clinic/Center Occupational Medicine (Licence: ME 36344) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2018-02-28 |